Nursing Elites

1. A psychological disorder is said to have an acute onset if the symptoms develop ______, while it has an insidious onset if the symptoms develop ______.

• A. Suddenly;gradually
• B. Suddenly;atypically
• C. Gradually;atypically
• D. Atypically;suddenly

Correct answer: A

Rationale: An acute onset refers to the sudden development of symptoms, whereas an insidious onset indicates a gradual progression of symptoms. Therefore, the correct answer is 'Suddenly;gradually.' The other choices are incorrect because 'atypically' does not accurately describe the onset of symptoms in this context.

2. Dr. Rice believes that it is not possible to fully understand emotions unless we understand the purpose that the conscious experiences associated with emotions play in survival and adaptation. Dr. Rice's views are most consistent with those of?

• A. Edward Titchener.
• B. Ivan Pavlov.
• C. Carl Rogers.
• D. William James.

Correct answer: D

Rationale: Dr. Rice's views align with William James, a functionalist, who emphasized understanding the role emotions play in survival and adaptation. William James and other functionalists believed that emotions have a purpose in helping individuals adapt to their environment. Edward Titchener, known for structuralism, focused on the structure of the mind rather than the purpose of emotions. Ivan Pavlov was a behaviorist known for his work on classical conditioning, which is not directly related to the purpose of emotions. Carl Rogers was a humanistic psychologist who emphasized self-actualization and personal growth, not specifically the purpose of emotions in survival and adaptation.

3. While out for a walk, you come across a ferocious dog. You feel your heart beating faster and your palms begin to sweat. Which part of the peripheral nervous system is activated in this situation?

• A. Autonomic
• B. Sympathetic
• C. Parasympathetic
• D. Somatic

Correct answer: B

Rationale: The correct answer is B: Sympathetic. When encountering a stressful situation like a ferocious dog, the sympathetic nervous system is activated, leading to the 'fight or flight' response. This response triggers physiological changes like increased heart rate, sweating, and heightened alertness to prepare the body to deal with the perceived threat. The autonomic nervous system (Choice A) encompasses both the sympathetic and parasympathetic divisions, so it's a broader category. The parasympathetic nervous system (Choice C) is responsible for the body's 'rest and digest' functions, which are opposite to the physiological changes seen in a stress response. The somatic nervous system (Choice D) controls voluntary movements and sensory information, not the physiological responses seen in a stress reaction.

4. Sandy took part in the April 2013 Boston Marathon, where two bombs were detonated near the finish line, killing three spectators. For approximately 2 weeks after the marathon, Sandy was unable to sleep or concentrate and often found herself reliving the moment she heard the bombs explode. What disorder might Sandy be diagnosed with?

• A. Posttraumatic stress disorder
• B. Phobic disorder
• C. Panic disorder
• D. Acute stress disorder

Correct answer: A

Rationale: Sandy might be diagnosed with posttraumatic stress disorder (PTSD). PTSD typically develops after exposure to a traumatic event and is characterized by symptoms such as re-experiencing the event, avoidance of reminders of the event, negative changes in thoughts and mood, and heightened reactivity. While acute stress disorder can occur shortly after a traumatic event, the duration of symptoms in the scenario suggests a more prolonged impact, aligning with PTSD. Phobic disorder and panic disorder are not as closely related to the described symptoms as PTSD.

5. In psychoanalytic theory, which psychosexual stage centers on castration anxiety?

• A. Genital
• B. Oral
• C. Anal
• D. Phallic

Correct answer: D

Rationale: Castration anxiety is a concept specific to the Phallic stage in psychoanalytic theory, according to Sigmund Freud. During the Phallic stage, children experience the Oedipus complex (boys) and Electra complex (girls), where they develop unconscious desires for the opposite-sex parent and fear castration by the same-sex parent. This anxiety is a crucial aspect of the Phallic stage, making it the correct answer. The other stages (Genital, Oral, and Anal) do not directly involve castration anxiety and focus on different aspects of psychosexual development.

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